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MISSION Act and Modernization: Leading the Future on Behalf of
Veterans
Jennifer MacDonald, MD, US Department of Veterans Affairs
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Disclosure Statement
Presenter has nothing to disclose
Disclosure will be made when a product is discussed for an unapproved sue.
This continuing education activity is managed and accredited by AffinityCE in collaboration with AMSUS. AffinityCE and AMSUS staff as well as Planners and Reviewers, have no relevant financial or non-financial interests to disclose.
Commercial Support was not received for this activity
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Objectives
1) Discuss VA’s growth into an integrated, optimized, customer-centric network of Federal and private sector providers.
2) Describe key strategies defining VA’s leadership in U.S. healthcare and enabling continued successful implementation of the MISSION Act through 2034.
3) Convey the critical importance of partnerships, care coordination, and telehealth advancement for person-centered care.
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Delivering an excellent experience of care for Veterans, families, and caregivers is at the core of VA’s approach to the MISSION Act.
VA is one integrated system with direct and community aspects of care delivery.
The MISSION Act strengthens both aspects of care delivery and empowers Veterans to find the balance in the system that is right for them.
VA is leveraging this opportunity to grow into an optimized, customer-centric network.
Core Tenets and Approach
MISSION Act Key Elements
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Combines multiple community care programs into a unified integrated experience
Expands eligibility for caregiver services to all eras of Veterans
Strengthens VA’s ability to recruit and retain clinicians
Authorizes “Anywhere to Anywhere” telehealth provision across State lines
Creates ability for VA to match infrastructure to Veteran needs
Establishes access to urgent care in the community
Establishes a VA Center for Innovation for Care and Payment
Empowers Veterans with increased access to community care
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MISSION Act Timeline
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MISSION Act Timeline
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Implementation Readiness
Processes & Policies
Technology
Communications
Training
Regulations
Acquisitions
Stakeholder Engagement and Cross-functional Collaboration
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June 6, 2019: Successful Launch
Operational Community Care Program
Supported by Veteran Education
Transformational Drivers
Underserved Facilities
StrategicPlan
StaffingCapacity
Recruitmentand
Retention
TelehealthStrategy
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Veteran Engagement
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Engagement Via Social Media
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Community Partner Engagement
Transformational Drivers
Underserved Facilities
StrategicPlan
TelehealthStrategy
More than 7.5M engagement opportunities with Veterans, families, caregivers, and survivorsPartnerships in Action for MISSION Act outreach: • RallyPoint 1.6M• Walgreens 4.2M• VetTix 1.2M• Team Red, White, and Blue 141k• Student Veterans of America 1,500 schools; 700k students• College Campuses (VBA VetSuccess on Campus Program) 104 sites; 86k students• DoD Military Installations (VBA Integrated Disability Evaluation System Program)
71 installations; 18k active cases• Community Veterans Engagement Boards (CVEBs) 152 boards
MISSION Act links, booklets, and brochures information provided to:• State VA/ County VA• Consumer Financial Protection Bureau • Administration for Community Living (HHS) • Military OneSource • DOL DVOPs/LVERs • LinkedIn• Elizabeth Dole Foundation • Bob Woodruff Foundation• America’s Warrior Partnership • Boulder Crest Institute • American Legion Auxiliary • Code of Support • National Ass. of Veteran Serving Organizations• TAPS• Red Cross MVCN• Marcus Institute for Brain Health• Cohen Veteran Network
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Leadership Engagement
Transformational Drivers
Underserved Facilities
StrategicPlan
StaffingCapacity
Recruitmentand
Retention
TelehealthStrategy
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Implementation Achievements
Three critical regulations completed on schedule Eleven Congressionally Mandated Reports delivered on time Decision Support Tool in the cloud and enabling software pushed to 400,000+ devices on
schedule; follow-on software upgrades successful and ongoing Veteran education brochure mailed to ~9 million enrolled Veterans New community urgent care network established VA Health Care Options handbook distributed to all facilities and shared with VSOs Training goals met and exceeded; follow-on focused training complete Training provided for National and local VSOs External and internal communications toolkits published and shared with stakeholders Field Implementation Guide published and distributed Community Care Guidebook published and distributed New Veteran feedback dashboards established: contact centers, social media, VA.gov Improvement achieved in the prompt payment of providers Completed more internal and external clinical consults on June 6th than expected at baseline Additional call center capacity launched, and collaboration with VSO call centers initiated MISSION Act landing page created on VA.gov and continually updated Joint Operations Center established with VHA, OIT, Communications, and key Department
subject matter experts
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In a recent VFW survey, more than 90% of Veterans responding said they would recommend VA to other
Veterans.
Trust
VHA Strategic Plan – Model
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Toward On-Demand Access
Transformational Drivers
Underserved Facilities
StrategicPlan
StaffingCapacity
Recruitmentand
Retention
TelehealthStrategy
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Accelerating Virtual Care Growth
Transformational Drivers
Underserved Facilities
StrategicPlan
TelehealthStrategy
2018• >2.2 million episodes of care
• >780,000 Veterans served
– 900 VA sites of care
– 88-90% Satisfaction
• ~13% of Veterans received
an element of their care
through a telehealth modality
Priorities
Questions?